Yıl: 2024 Cilt: 16 Sayı: 1 Sayfa Aralığı: 111 - 125 Metin Dili: İngilizce DOI: 10.18863/pgy.1263730 İndeks Tarihi: 16-01-2024

Anxiety during the COVID-19 Pandemic: Prevalence, Effects and Predisposing Factors

Öz:
Although infectious diseases have emerged in various periods of history, the outbreaks seen worldwide due to globalization have started to increase in recent years. Epidemics had significant effects on the psychological health of individuals. The most important effect of COVID-19 pandemic on individuals was anxiety. In the days when other pandemic diseases are at the door, the understanding of anxiety during the COVID-19 pandemic in individuals is a very important issue. In the COVID-19 outbreak, the general sample, university students, those diagnosed with COVID-19, and healthcare workers were the groups most affected by anxiety. In different countries, moderate anxiety symptoms in different waves of the epidemic ranged from 6.3% to 66.8% in the general sample, between 18.6% and 87.7% in university students, between 13.0-60.3% in people diagnosed with COVID-19, and between 13.0-51.6% in healthcare workers. In the follow-up studies, it was noted that the anxiety symptoms did not regress to the pre-pandemic level for a long time in these samples. According to the findings, anxiety associated with COVID-19 is associated with psychological health. As COVID-19-related anxiety increased, negative emotions, dysfunctional behaviors, sleep problems and depressive symptoms increased.The fact that anxiety is common, persistent and associated with other psychological symptoms during the epidemic made it necessary to understand the underlying factors of anxiety. Findings indicate that anxiety sensitivity, disgust susceptibility/sensitivity, intolerance to uncertainty, and health anxiety play a role in explaining anxiety symptoms associated with COVID-19. These susceptibility factors may contribute to the development of cognitive-behavioral oriented therapeutic and preventive intervention programs both during/after epidemic and future epidemics especially in the general sample, university students, those diagnosed with COVID-19, and healthcare workers.
Anahtar Kelime: Anxiety COVID-19 prevalence psychological health predisposing factors

COVID-19 Salgını Döneminde Anksiyete: Yaygınlığı, Etkileri ve Yatkınlık Faktörleri

Öz:
Bulaşıcı hastalıklar tarihin çeşitli dönemlerinde ortaya çıkmış olsa da son yıllarda küreselleşme nedeniyle dünya çapında görülen salgınlar artmaya başlamıştır. Salgın hastalıkların kişilerin psikolojik sağlıkları üzerinde önemli etkileri olmaktadır. COVID-19 salgınının ise bireyler üzerindeki en önemli etkisi anksiyete olmuştur. Diğer salgın hastalıkların kapıda olduğu günlerde COVID-19 salgınında bireylerde görülen anksiyetenin anlaşılması oldukça önemli bir konu olarak karşımıza çıkmaktadır. COVID-19 salgınında genel örneklem, üniversite öğrencileri, COVID-19 tanısı alanlar ve sağlık çalışanları anksiyeteden en fazla etkilenen gruplar olmuştur. Farklı ülkelerde, salgının farklı dalgalarında orta derecede anksiyete belirtileri genel örneklemde %6.3-%66.8 arasında, üniversite öğrencilerinde %18.6-%87.7 arasında, COVID-19 tanısı alan kişilerde %13.0-%60.3 arasında, sağlık çalışanlarında %13.0-%51.6 arasında değişmiştir. İzlem çalışmalarında, anksiyete belirtilerinin bu örneklemlerde uzun süre salgın öncesi düzeye gerilemediği dikkat çekmiştir. Bulgulara göre COVID-19 ile ilişkili anksiyete psikolojik sağlık ile ilişkilidir. COVID-19 ile ilişkili anksiyete arttıkça olumsuz duygular, işlevsel olmayan davranışlar, uyku problemleri ve depresif belirtiler artmıştır. COVID-19 salgınında anksiyetenin yaygın, kalıcı ve diğer psikolojik belirtilerle ilişkili olması anksiyetenin altında yatan faktörlerin anlaşılmasını gerekli kılmıştır. Bulgular anksiyete duyarlılığı, tiksinti yatkınlığı/ duyarlılığı, belirsizliğe tahammülsüzlük ve sağlık anksiyetesinin COVID-19 ile ilişkili anksiyete belirtilerini açıklamada rol oynadığına işaret etmektedir. Bu yatkınlık faktörleri özellikle genel örneklemde, üniversite öğrencilerinde, COVID-19 tanısı alanlarda, sağlık çalışanlarında salgın sırasında/sonrasında anksiyeteye yönelik bilişsel-davranışçı yönelimli tedavi edici ve gelecek salgınlar için önleyici müdahale programlarının geliştirilmesine katkı sağlayabilir.
Anahtar Kelime: Anksiyete yaygınlık psikolojik sağlık yatkınlık faktörleri. COVID-19

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  • Arslan G, Yıldırım M, Aytaç M (2022) Subjective vitality and loneliness explain how coronavirus anxiety increases rumination among college students. Death Stud, 46:1042–1051.
  • Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH (2020) The fear of COVID-19 scale: development and initial validation. Int J Ment Health Addict, 20:1537-1545.
  • Alkhamees AA, Alrashed SA, Alzunaydi AA, Almohimeed AS, Aljohani MS (2020) The psychological impact of COVID-19 pandemic on the general population of Saudi Arabia. Compr Psychiatry, 102:152-192.
  • Altun Y (2020) Covid-19 pandemisinde kaygı durumu ve hijyen davranışları. Sürekli Tıp Eğitimi Dergisi, 29:312-317.
  • APA (2013) Diagnostic and Statistical Manual of Mental Disorders 5th edition (DSM-5). Washington DC, American Psychiatric Association.
  • Arënliu A, Bërxulli D, Perolli-Shehu B, Krasniqi B, Gola A, Hyseni F (2021) Anxiety and depression among Kosovar university students during the initial phase of outbreak and lockdown of COVID-19 pandemic. Health Psychol Behav Med, 9:239–250.
  • Armean KA, Popescu CA, Armean SM, CovaliuBF, Armean P, Buzoianu, AD (2021) "Perceived stress, burnout and anxiety and fear related to COVID-19 in Romanian medical students – experience from the state of emergency in romania. Acta Medica Transilvanica, 26:5-10.
  • Arul Varman P, Ananthi P, Sugirda P (2022) Evaluation of perceived stress and coronavirus-specific anxiety among hospitalized COVID-19 patients – A cross-sectional study. Asian J Med Sci,13:18–22.
  • Asmundson GJG, Taylor S (2020) How health anxiety influences responses to viral outbreaks like COVID-19: What all decision-makers, health authorities, and health care professionals need to know. J Anxiety Disord,71:102211.
  • Aygüder E, Kılıc H, Kacar D, Kaya G, Kaya Aslan B, Güner R (2020) Anxiety and depressıon levels in hospitalized patıents due to COVID-19 infectıon. Ankara Medical Journal,20:971-981.
  • Azevedo MN, Rodrigues EDS, Passos EAFV, Filho MAB, Barreto APA, Lima MCC et al. (2022) Multimorbidity associated with anxiety symptomatology in post-COVID patients. Psychiatry Res, 309:114-142.
  • Banerjee A, Sheth H, Agarwal A, Chakraborty A (2022) Relationship between COVID-19 anxiety, locus of control and psychological well-being. Indian J Health Wellbeing,13:218-223.
  • Beck E, Daniels J (2023) Intolerance of uncertainty, fear of contamination and perceived social support as predictors of psychological distress in NHS healthcare workers during the COVID-19 pandemic. Psychol Health Med, 28:447-459.
  • Benke C, Schönborn T, Habermann N, Pané-Farré CA (2022) Health anxiety is associated with fearful imagery of contracting COVID-19: An experimental study. J Affect Disord, 298:316-321.
  • Berdida DJE, Grande RAN (2022) Academic stress, COVID-19 anxiety, and quality of life among nursing students: The mediating role of resilience. Int Nurs Rev,13:1–9.
  • Bottesi G, Ghisi M, Sica C, Freeston MH (2017) Intolerance of uncertainty, not just right experiences, and compulsive checking: Test of a moderated mediation model on a non-clinical sample. Compr Psychiatry, 73:111-119.
  • Carnahan ND, Carter MM, Sbrocco T (2022) Intolerance of uncertainty, looming cognitive style, and avoidant coping as predictors of anxiety and depression during COVID-19: a longitudinal study. Int J Cogn Ther, 15:1–19.
  • Caycho-Rodríguez T, Tomás J, Valencia P, Ventura-Leon J, Vilca LW, Carbajal-Leon C (2022) COVID-19 anxiety, psychological well being and preventive behaviors during the COVID-19 pandemic in Latin America and the Caribbean: relationships and explanatory model. Front Psychol,5:695989.
  • Cha EJ, Jeon HJ, Seockhoon C (2022) Central symptoms of ınsomnia in relation to depression and COVID-19 anxiety in general population: A network analysis. J Clin Med, 11:341681.
  • Cheng SKW, Wong CW, Tsang J, Wong KC (2004) Psychological distress and negative appraisals in survivors of severe acute respiratory syndrome (SARS). Psychol Med, 34:1187–1195.
  • Clark DA, Beck AT (2010) Cognitive Therapy of Anxiety Disorders, 2nd ed. New York-Guildford Press.
  • Costa MA, Kristensen CH, Dreher CB, Manfro GG, Salum GA (2022) Habituating to pandemic anxiety: Temporal trends of COVID-19 anxiety over sixteen months of COVID-19. J Affect Disord, 313:32–35.
  • Cox RC, Jessup SC, Luber MJ, Olatunji BO (2020) Pre-pandemic disgust proneness predicts increased coronavirus anxiety and safety behaviors: Evidence for a diathesis-stress model. J Anxiety Disord, 76:102315.
  • Czepczor-Bernat K, Swami V, Modrzejewska A, Modrzejewska J (2021) COVID-19 related stress and anxiety, body mass index, eating disorder symptomatology, and body image in women from Poland: A cluster analysis approach. Nutrients, 13:1384-1399.
  • Çağ Y, Erdem H, Gormez A, Ankarali H, Hargreaves S, Ferreira-Coimbra J et al. (2021) Anxiety among front-line health-care workers supporting patients with COVID-19: A global survey. Gen Hosp Psychiatry, 68:90–96.
  • Danquaha JO, Mante PK (2022) Post-illness anxiety, depression and PTSD symptoms in COVID-19 survivors. Int J Health, 51:131-141.
  • Demiryürek E, Çekiç D, Işsever K, Genç AC, Yaylaci S, Demiryürek BE (2022) Depression and anxiety disorders in COVID-19 survivors: role of ınflammatory predictors. Noro Psikiyatr Ars, 14:105-109.
  • Deng J, Zhou F, Hou W, Silver Z, Wong CY, Chang O et al. (2021) The prevalence of depression, anxiety, and sleep disturbances in COVID-19 patients: a meta-analysis. Ann N Y Acad Sci, 1486:90–111.
  • Detoc M, Bruel S, Frappe B, Tardy B, Botelho-Nevers E, Gagneux-Brunon A (2020) Intention to participate in a COVID-19 vaccine clinical trial and to get vaccinated against COVID-19 in France during the pandemic. Vaccine, 38:7002–7006.
  • Dos Santos GB, Beleza ACS, Sato TO, Carvalho C, Serrão PRMDS (2022) Fatigue, sleep quality and mental health symptoms in Brazilian women during the COVID-19 pandemic: longitudinal study. Sci Rep, 27:20346.
  • Elbay RY, Kurtulmuş A, Arpacıoğlu S, Karadere E (2020) Depression, anxiety, stress levels of physicians and associated factors in COVID-19 pandemics. Psychiatry Res, 290:113130.
  • Erdoğdu Y, Koçoğlu F, Sevim C (2020) COVID-19 pandemisi sürecinde anksiyete ile umutsuzluk düzeylerinin psikososyal ve demografik değişkenlere göre incelenmesi. Klinik Psikiyatri Dergisi, 23:24-37.
  • Evren C, Evren B, Dalbudak E, Topcu M, Kutlu N (2021) Alcohol- and cigarette-use-related behaviors across gender, dysfunctional COVID-19 anxiety, and the presence of probable ADHD during the pandemic: A cross-sectional study in a sample of Turkish young adults. Dusunen Adam, 4:383-391.
  • Fergus TA (2015) Anxiety sensitivity and intolerance of uncertainty as potential risk factors for cyberchondria: A replication and extension examining dimensions of each construct. J Anxiety Disord, 184:305-309.
  • Gambin M, Oleksy T, Sękowski M, Wnuk A, Woźniak-Prus M, Kmita G et al. (2021) Pandemic trajectories of depressive and anxiety symptoms and their predictors. Compr Psychiatry, 105:152222.
  • GebreEyesus FA, Tarekegn TT, Amlak BT, Shiferaw BZ, Emeria MS, Geleta OT et al. (2021) Levels and predictors of anxiety, depression, and stress during COVID-19 pandemic among frontline healthcare providers in Gurage zonal public hospitals, Southwest Ethiopia, 2020: A multicenter cross-sectional study. PLoS One, 16:e0259906.
  • Gilbar O, Gelkopf M, Berger R, Greene T (2022) Risk factors for depression and anxiety during COVID-19 in Israel: A two-wave study before and during the pandemic. Stress Health, 38:736–745.
  • Guo Y, Yang H, Elhai J and McKay D (2021) Anxiety Regarding covıd-19 is related to attentional control: the mediating role of anxiety sensitivity. Front Psychiatry,12:713279.
  • Gupta S, Basera D, Purwar S, Poddar L, Rozatkar AR, Kumar M et al. (2022) Comparing the psychological problems among the healthcare workers across two waves of SARS-CoV-2 (COVID-19) pandemic: An observational study from India. Disaster Med Public Health Prep, 28:1–9.
  • Gupta S, Prasad AS, Dixit PK, Padmakumari P, Gupta S, Abhisheka K (2021) Survey of prevalence of anxiety and depressive symptoms among 1124 healthcare workers during the coronavirus disease 2019 pandemic across India. Med J Armed Forces India, 77:S404–S412.
  • Hacımusalar Y, Kahve AC, Yasar AB, Aydin MS (2020) Anxiety and hopelessness levels in COVID-19 pandemic: A comparative study of healthcare professionals and other community sample in Turkey. J Psychiatr Res,129:181–188.
  • Hajduk M, Dancik D, Januska J, Strakova A, Turcek M, Heretik A et al. (2022) Depression and anxiety among college students in Slovakia comparison of the year 2018 and during COVID-19 pandemic. Bratisl Lek Listy, 123:44-49.
  • Hawes M, Szenczy A, Klein D, Hajcak G, Nelson B (2022) Increases in depression and anxiety symptoms in adolescents and young adults during the pandemic. Psychol Med, 52:3222-3230..
  • Heesakkers H, van der Hoeven JG, Corsten S, Janssen I, Ewalds E, Simons KS et al. (2022) Clinical outcomes among patients with 1-year survival following intensive care unit treatment for COVID-19. JAMA, 327:559–565.
  • Hoşgören Alıcı Y, Çınar G, Hasanlı J, Ceran S, Gülten E, Akdemir Kalkan I et al.. (2022) Factors associated with progression of depression, anxiety, and stress-related symptoms in outpatients and inpatients with COVID-19: A longitudinal study. Psych J, 11:550-559.
  • Islam MA, Barna SD, Raihan H, Khan M, Hossain MT (2020) Depression and anxiety among university students during the COVID-19 pandemic in Bangladesh: A web-based cross-sectional survey. PloS One, 15:e0238162.
  • Jordan JA, Shannon C, Browne D, Carroll E, Maguire J, Kerrigan A et al. (2021) Covid-19 staff wellbeing survey: longitudinal survey of psychological well-being among health and social care staff in Northern Ireland during the COVID-19 pandemic. BJ Psych Open, 7:e159.
  • Jungmann SM, Witthöft M (2020) Health anxiety, cyberchondria, and coping in the current COVID-19 pandemic: which factors are related to coronavirus anxiety? J Anxiety Disord, 73:102239.
  • Kakar SM, Sadiq N, Rauf S, Ahmed A, Khattak H, Awais (2022) Burden of depression, anxiety and stress; the psychiatric burden in COVID-19 patients at a tertiary care hospital in pakistan. Pak Armed Forces Med J, 72:806-810.
  • Karaaslan Y, Mete O, Karadag M, Özer-Kaya D, Toprak-Celenay Ş (2021) An investigation of potential coronaphobia-related factors in adults and sleep quality relations. Sleep Med, 84:356–361.
  • Kardaş F (2021) The fear of COVID-19 raises the level of depression, anxiety and stress through the mediating role of ıntolerance of uncertainty, Studia Psychologica, 63:291-306.
  • Karing C (2021) Prevalence and predictors of anxiety, depression and stress among university students during the period of the first lockdown in Germany. J Affect Disord Rep, 5:100174.
  • Klaser K, Thompson EJ, Nguyen LH, Sudre CH, Antonelli M, Murray B et al. (2021) Anxiety and depression symptoms after COVID-19 infection: results from the COVID Symptom Study app. J Neurol Neurosurg Psychiatry, 92:1254-1258.
  • Korkmaz S, Kazgan A, Çekiç S, Tartar AS, Balcı HN, Atmaca M (2020) The anxiety levels, quality of sleep and life and problem-solving skills in healthcare workers employed in COVID-19 services. J Clin Neurosci, 80:131–136.
  • Krebs G, Hannigan LJ, Gregory AM, Rijsdijk FV, Eley TC (2020) Reciprocal links between anxiety sensitivity and obsessive-compulsive symptoms in youth: a longitudinal twin study. J Child Psychol Psychiatry, 61:979–987.
  • Lakhan R, Summers L, Tataw D, Hackbert P, Sharma M (2021) Correlates of COVID-19 pandemic on anxiety among adults in Appalachia, USA. J Res Health Sci, 21:e00531.
  • Lam MH, Wing Y, Yu MW. (2009) Mental morbidities and chronic fatigue in severe acute respiratory syndrome survivors: long-term follow-up. Arch Intern Med, 169:2142–2147.
  • Lasheras I, Gracia-García P, Lipnicki DM, Bueno-Notivol J, López-Antón R, de la Cámara C et al. (2020) Prevalence of anxiety in medical students during the COVID-19 pandemic: a rapid systematic review with meta-analysis. Int J Environ Res Public Health, 10:17186603.
  • Lee SA (2020) Replication analysis of the Coronavirus Anxiety Scale. Dusunen Adam, 33:203-205.
  • Lee SA, Jobe MC, Mathis AA (2021) Mental health characteristics associated with dysfunctional coronavirus anxiety. Psychol Med, 51:1403–1404.
  • Lee SA, Mathis AA, Jobe MC, Pappalardo EA (2020) Clinically significant fear and anxiety of COVID-19: A psychometric examination of the Coronavirus Anxiety Scale. Psychiatry Res, 290:113112.
  • Li DJ, Ko NY, Chen YL, Wang PW, Chang YP, Yen CF, Lu WH (2020) COVID-19-related factors associated with sleep disturbance and suicidal thoughts among the Taiwanese public: a facebook survey. Int J Environ Res Public Health, 17:4479.
  • Lopez-Leon S, Wegman-Ostrosky T, Perelman C, Sepulveda R, Rebolledo PA, Cuapio A et al. (2021) More than 50 long-term effects of COVID-19: a systematic review and meta-analysis. Sci Rep, 11:16144.
  • Lotfi M, Hamblin M, Rezaei N (2020) COVID-19: transmission, prevention, and potential therapeutic opportunities. Clin Chim Acta, 508:254–266.
  • Lusida M, Salamah S, Jonatan M, Wiyogo IO, Asyari CH, Ali ND (2022) Prevalence of and risk factors for depression, anxiety, and stress in non-hospitalized asymptomatic and mild COVID-19 patients in East Java province, Indonesia. PloS One, 17:0270966.
  • Maben J, Bridges J (2020) Covid-19: Supporting nurses’ psychological and mental health. J Clin Nurs, 29:2742–2750.
  • Manning K, Eades ND, Kauffman BY, Long LJ, Richardson AL, Garey L et al. (2021) Anxiety sensitivity moderates the impact of COVID-19 perceived stress on anxiety and functional impairment. Cognit Ther Res, 45:689-696.
  • Mattila E, Peltokoski J, Neva MH, Kaunonen M, Helminen M, Parkkila AK (2021) COVID-19: anxiety among hospital staff and associated factors. Ann Med, 53:237–246.
  • McKay D, Yang H, Elhai J, Asmundson GJG (2021) Anxiety regarding contracting COVID-19 related to interoceptive anxiety sensations: The moderating role of disgust propensity and sensitivity. J Anxiety Disord, 73:102233.
  • Mertens G, Gerritsen L, Duijndam S, Salemink E, Engelhard IM (2020) Fear of the coronavirus: Predictors in an online study conducted in March 2020. J Anxiety Disord, 74:102258.
  • Moghanibashi-Mansourieh A (2020) Assessing the anxiety level of Iranian general population during COVID-19 outbreak. Asian J Psychiatry, 51:102076.
  • Mohanty A, Dash P, Banerji D (2021) How do attitudes toward COVID-19 vaccine impact intentions to vaccinate in an emerging economy? The moderating effect of risk perception and COVID-19 anxiety. Health Mark Q, 38:238-254.
  • Mokros Ł, Januszczak J, Baka Ł, Sienkiewicz-Jarosz H, Świtaj P (2021) Coronavirus anxiety as a predictor of burnout, depressive symptoms and insomnia among professionally active nurses: a preliminary report. Postep Psychiatr Neurol, 30:96-103.
  • Ngasa SN, Tchouda L, Abanda C, Ngasa NC, Sanji EW, Dingana TN et al. (2021) Prevalence and factors associated with anxiety and depression amongst hospitalised COVID-19 patients in Laquintinie Hospital Douala, Cameroon. PLoS One, 16:e0260819.
  • Olatunji BO, Williams NL, Lohr JM, Sawchuk CN (2005) The structure of disgust: domain specificity in relation to contamination ideation and excessive washing. Behav Res Ther, 43:1069-1086.
  • Pascal SA, Blidaru S (2021) The role of emotions in the development of anxiety symptoms: an educatıonal perspectıve related to the covıd-19 pandemıc. The 17 th International Scientific Conference, April 22-23, Bucharest, S566-S567.
  • Peng X, Liu L, Liang S, Chen J, Zhao J (2022) Longitudinal changes in fear and anxiety among Chinese college students during the COVID-19 pandemic: a one-year follow-up study. Curr Psychol, 51: doi: 10.1007/s12144-022-03487-z..
  • Preti E, Di Mattei V, Perego G, Ferrari F, Mazzetti M, Taranto P et al. (2020) The psychological impact of epidemic and pandemic outbreaks on healthcare workers: rapid review of the evidence. Curr Psychiatry Rep, 22:22-43.
  • Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y (2020) A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatr, 6:e100213.
  • Rahman MH, Banik G, Ahmed A et al. (2020) Anxiety and depressive symptoms among COVID-19 patients admitted to three isolation facilities in Bangladesh. Health Psychol Open, 8:20551029211046106.
  • Rajabimajd N, Alimoradi Z, Griffiths M (2021) Impact of COVID-19-related fear and anxiety on job attributes: A systematic review. Asian J Soc Health and Behav, 4:51-55.
  • Ransing R, Dashi E, Rehman S, Mehta V, Chepure A, Kilic O et al. (2021). Covid-19 related mental health issues: a narrative review of psychometric properties of scales and methodological concerns in scale development. Australas Psychiatry, 29:326–332.
  • Rehman U, Yıldırım M, Shahnawaz MG (2022) A longitudinal study of depression, anxiety, and stress among Indians during COVID-19 pandemic. Psychol Health Med, 28:60-68.
  • Reiss S, Peterson RA, Gursky DM, McNally RJ (1986) Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behav Res Ther, 24:1–8.
  • Rettie H, Daniels J (2020) Coping and tolerance of uncertainty: Predictors and mediators of mental health during the COVID-19 pandemic. Am Psychol, 76:427-437.
  • Rizk DN, Ghanima M (2022) Anxiety and depression among vaccinated anesthesia and intensive care doctors during COVID-19 pandemic in United Arab Emirates: a cross-sectional study. Middle East Curr Psychiatry, 29:10-21.
  • Rogers AH, Bogiaizian D, Salazar PL, Solari A, Garey L, Fogle BM et al. (2021) Covid-19 and anxiety sensitivity across two studies in Argentina: Associations with COVID-19 worry, symptom severity, anxiety, and functional impairment. Cognit Ther Res, 45:697-707.
  • Saeed H, Eslami A, Nassif NT, Simpson, Lal S (2022) Anxiety linked to COVID-19: A systematic review comparing anxiety rates in different populations, Int J Environ Res Public Health, 19:2189.
  • Sahu DP, Pradhan SK, Sahoo DP, Patra S, Singh AK, Patro BK (2021) Fear and anxiety among COVID-19 screening clinic beneficiaries of a tertiary care hospital of Eastern India. Asian J Psychiatr, 57:102543.
  • Salali GD, Uysal MS (2022) COVID-19 vaccine hesitancy is associated with beliefs on the origin of the novel coronavirus in the UK and Turkey. Psychol Med, 52:3750-3752.
  • Sani G, Janiri D, Di Nicola M, Janiri M, Ferretti S, Chieffo D (2020) Mental health during and after the COVID-19 emergency in Italy. Psychiatry Clin Neurosci, 74:372-381.
  • Santabárbara J, Bueno-Notivol J, Lipnicki DM, Olaya B, Pérez-Moreno M, Gracia-García P, et al. (2021) Prevalence of anxiety in health care professionals during the COVID-19 pandemic: A rapid systematic review with meta-analysis. Prog Neuropsychopharmacol Biol Psychiatry, 107:110244.
  • Santander-Hernández FM, Peralta CI, Guevara-Morales MA, Díaz-Vélez C, Valladares-Garrido MJ (2022) Smartphone overuse, depression & anxiety in medical students during the COVID-19 pandemic. PLoS One, 17:e0273575.
  • Satıcı B, Saricali M, Satici SA et al.. (2020) Intolerance of uncertainty and mental wellbeing: serial mediation by rumination and fear of COVID-19. Int J Ment Health Addict, 20:2731–2742.
  • Shafran R, Rachman S, Whittal M, Radomsky A, Coughtrey A (2021) Fear and anxiety in COVID-19: Preexisting anxiety disorders. Cogn Behav Pract,28:459-467.
  • Sher L (2020) The impact of the COVID-19 pandemic on suicide rates. QJM, 113:707–712.
  • Shevlin M, Nolan E, Owczarek M, McBride O, Murphy J, Gibson Miller et al. (2020) Covid-19-related anxiety predicts somatic symptoms in the UK population. Br J Health Psychol, 25:875–882.
  • Shultz JM, Baingana F, Neria Y (2015) The 2014 Ebola outbreak and mental health: current status and recommended response. JAMA, 313:567-568.
  • Silva W, Brito T, Pereira C (2021) Anxiety associated with COVID-19 and concerns about death: impacts on psychological well-being. Pers Individ Dif, 176:110772.
  • Song Y, Sznajder K, Cui C, Yang Y, Li Y, Yang X (2022) Anxiety and its relationship with sleep disturbance and problematic smartphone use among Chinese medical students during COVID-19 home confinement - A structural equation model analysis. J Affect Disord, 296:315–321.
  • Tabrizi Z, Mohammadzadeh F, Davarinia Motlagh Quchan A, Bahri N (2022) COVID-19 anxiety and quality of life among Iranian nurses. BMC Nurs, 21:27.
  • Taylor S (2019) The Psychology of Pandemics: Preparing for the Next Global Outbreak of Infectious Disease. 2 nd ed. Newcastle upon Tyne, UK: Cambridge.
  • Taylor S (2022) The psychology of pandemics. Annu Rev Clin Psychol, 9:581-609.
  • Taylor S, Landry CA, Paluszek MM, Fergus TA, McKay D, Asmundson GJG (2020) Development and initial validation of the covid stress scales. J Anxiety Disord, 72:102232.
  • Taylor S, Zvolensky MJ, Cox BJ, Deacon B, Heimberg RG, Ledley DR et al. (2007) Robust dimensions of anxiety sensitivity: development and initial validation of the anxiety sensitivity index-3. Psychol Assess, 19:176–188.
  • Teo I, Chay J, Cheung YB, Sung SC, Tewani KG Yeo LF et al.(2021) Healthcare worker stress, anxiety and burnout during the COVID-19 pandemic in Singapore: A 6-month multi-centre prospective study. PLoS One, 16:0258866.
  • Troisi A, Di Cave D, Carola V, Nanni RC (2022) The behavioral immune system in action: Psychological correlates of pathogen disgust sensitivity in healthcare professionals working in a COVID-19 hospital. Physiol Behav, 251:113821.
  • Twenge JM, Joiner TE US (2020) Census Bureau-assessed prevalence of anxiety and depressive symptoms in 2019 and during the 2020 COVID-19 pandemic. Depress Anxiety, 37:954-956.
  • Villarreal-Zegarra D, Copez-Lonzoy A, Vilela-Estrada AL, Huarcaya-Victoria J (2021) Depression, post-traumatic stress, anxiety, and fear of COVID-19 in the general population and health-care workers: prevalence, relationship, and explicative model in Peru. BMC Psychiatry, 21:455.
  • Wang C, Pan R, Wan X., Tan Y, Xu L, Ho CS et al. (2020) Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease epidemic among the general population in China. Int J Environ Res Public Health, 17:1729.
  • Wang R, Ye B, Wang P, Tang C, Yang Q (2022) Coronavirus stress and overeating: the role of anxiety and COVID-19 burnout. J Eat Disord, 10:59-69.
  • Warren AM, Zolfaghari K, Fresnedo M, Bennett M, Pogue J, Waddimba A (2021) Anxiety sensitivity, COVID-19 fear, and mental health: results from a United States population sample. Cogn Behav Ther, 50:204-216.
  • Wong LP, Hung CC, Alias H, Lee TS (2020) Anxiety symptoms and preventive measures during the COVID-19 outbreak in Taiwan. BMC Psychiatry, 20:376.
  • Woon LSC, Leong Bin Abdullah MFI, Sidi H, Mansor NS, Nik Jaafar NR (2021) Depression, anxiety, and the COVID-19 pandemic: severity of symptoms and associated factors among university students after the end of the movement lockdown. PLoS One 16:e0252481.
  • Wu X, Nazari N, Griffiths MD (2021) Using fear and anxiety related to COVID-19 to predict cyberchondria: Cross-sectional survey study. J Med Internet Res, 23:e26285.
  • Xiong J, Lipsitz O, Nasri F, Lui LMW, Gill H, Phan L, Chen-Li D et al. (2020) Impact of COVID-19 pandemic on mental health in the general population: A systematic review. J Affect Disord, 277:55-64.
  • Yalçın E (2021) Sağlıkla ilgili işlevsel olmayan inançlar ve covıd-19 korkusu ilişkisinde sağlık anksiyetesi ve siberkondrinin aracı rolü (Yüksek Lisans tezi). Maltepe Üniversitesi, İstanbul.
  • Yoon S, Choi S (2021) Stress-related to COVID-19, anxiety, and protective factors among middle-aged and older adults in the largest outbreak areas in South Korea. Aging Ment Health, 26:2090-2099.
  • Zhang SX, Miller SO, Xu W, Yin A, Chen BZ, Delios A et al. (2022) Meta-analytic evidence of depression and anxiety in Eastern Europe during the COVID-19 pandemic, Eur J Psychotraumatol, 13:2000132.
  • Zhang X, Wang F, Shen Y, Zhang X, Cen Y, Wang B et al. (2021) Symptoms and health outcomes among survivors of COVID-19 infection 1 Year after discharge from hospitals in Wuhan, China. JAMA Netw Open, 4:e2127403.
  • Zhao Y, Guo J, Liu S, Aizezi M, Zeng Q, Sidike A et al. (2021) Prevalence and related factors of depression, anxiety, acute stress, and insomnia symptoms among medical staffs experiencing the second wave of COVID-19 pandemic in Xinjiang, China. Front Publ Health, 9:671400.
APA Akan Ş (2024). Anxiety during the COVID-19 Pandemic: Prevalence, Effects and Predisposing Factors. , 111 - 125. 10.18863/pgy.1263730
Chicago Akan Şebnem Anxiety during the COVID-19 Pandemic: Prevalence, Effects and Predisposing Factors. (2024): 111 - 125. 10.18863/pgy.1263730
MLA Akan Şebnem Anxiety during the COVID-19 Pandemic: Prevalence, Effects and Predisposing Factors. , 2024, ss.111 - 125. 10.18863/pgy.1263730
AMA Akan Ş Anxiety during the COVID-19 Pandemic: Prevalence, Effects and Predisposing Factors. . 2024; 111 - 125. 10.18863/pgy.1263730
Vancouver Akan Ş Anxiety during the COVID-19 Pandemic: Prevalence, Effects and Predisposing Factors. . 2024; 111 - 125. 10.18863/pgy.1263730
IEEE Akan Ş "Anxiety during the COVID-19 Pandemic: Prevalence, Effects and Predisposing Factors." , ss.111 - 125, 2024. 10.18863/pgy.1263730
ISNAD Akan, Şebnem. "Anxiety during the COVID-19 Pandemic: Prevalence, Effects and Predisposing Factors". (2024), 111-125. https://doi.org/10.18863/pgy.1263730
APA Akan Ş (2024). Anxiety during the COVID-19 Pandemic: Prevalence, Effects and Predisposing Factors. Psikiyatride Güncel Yaklaşımlar, 16(1), 111 - 125. 10.18863/pgy.1263730
Chicago Akan Şebnem Anxiety during the COVID-19 Pandemic: Prevalence, Effects and Predisposing Factors. Psikiyatride Güncel Yaklaşımlar 16, no.1 (2024): 111 - 125. 10.18863/pgy.1263730
MLA Akan Şebnem Anxiety during the COVID-19 Pandemic: Prevalence, Effects and Predisposing Factors. Psikiyatride Güncel Yaklaşımlar, vol.16, no.1, 2024, ss.111 - 125. 10.18863/pgy.1263730
AMA Akan Ş Anxiety during the COVID-19 Pandemic: Prevalence, Effects and Predisposing Factors. Psikiyatride Güncel Yaklaşımlar. 2024; 16(1): 111 - 125. 10.18863/pgy.1263730
Vancouver Akan Ş Anxiety during the COVID-19 Pandemic: Prevalence, Effects and Predisposing Factors. Psikiyatride Güncel Yaklaşımlar. 2024; 16(1): 111 - 125. 10.18863/pgy.1263730
IEEE Akan Ş "Anxiety during the COVID-19 Pandemic: Prevalence, Effects and Predisposing Factors." Psikiyatride Güncel Yaklaşımlar, 16, ss.111 - 125, 2024. 10.18863/pgy.1263730
ISNAD Akan, Şebnem. "Anxiety during the COVID-19 Pandemic: Prevalence, Effects and Predisposing Factors". Psikiyatride Güncel Yaklaşımlar 16/1 (2024), 111-125. https://doi.org/10.18863/pgy.1263730